Friday, September 14, 2012

The Home Health Section alerted APTA this week that the Centers for Medicare and Medicaid Services (CMS) began issuing its therapy cap letter to Medicare beneficiaries who are receiving home health under Part A, resulting in patients cancelling appointments. To address these beneficiaries' concerns, APTA has updated its patient FAQs to explicitly state that the cap does not apply to patients who receive skilled therapy at home under the Medicare home health benefit Part A, those who receive services under Part A in skilled nursing facilities, or those under a Part A inpatient hospital stay.

Comments

Please note that the cap does not apply to patient in skilled nursing facilities who are there under Medicare Part A as implied by the APTA letter at the bottom of page 1.
"What provider settings are subject to the therapy cap in 2012? Effective January 1, 2012, if you receive therapy services in a private practice, a physician's office, a skilled nursing facility, or a rehabilitation facility the $1,880 therapy cap with an exceptions process will apply to you."
Thank you